14D0950869 CLIA NUMBER - ALDEN TRAILS INC

Laboratory Demographics

  • CLIA Code: 14D0950869
  • Facility Name: ALDEN TRAILS INC
  • Facility Address: 273 EAST ARMY TRAIL ROAD
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 671-1990
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: NANCY RODRIGUEZ
  • NPI Number: 1831554534
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0950869
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name ALDEN TRAILS INC
Street 273 EAST ARMY TRAIL ROAD
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 671-1990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director NANCY RODRIGUEZ

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This page was last updated on: 9/29/2025